Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $37.54 / $37.54	Facility		$37.54	$37.54	$37.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $37.54 / $65.98	Professional		$32.70	$37.54	$65.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.41 / $81.84 / $135.43	Facility		$74.41	$81.84	$135.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $69.20 / $91.52	Professional		$64.34	$69.20	$91.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.54 / $159.24 / $159.24	Facility		$53.54	$159.24	$159.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $153.84 / $310.70	Facility		$48.15	$153.84	$310.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $107.81 / $140.84	Professional		$35.15	$107.81	$140.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $56.31 / $85.57	Facility		$20.66	$56.31	$85.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $42.62 / $74.41 / $89.29	Professional		$42.62	$74.41	$89.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $74.41 / $346.37	Facility		$35.77	$74.41	$346.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $48.22 / $81.03	Professional		$32.44	$48.22	$81.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $58.40 / $85.00	Professional		$23.78	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $56.31 / $85.57	Facility		$20.66	$56.31	$85.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $42.62 / $74.41 / $89.29	Professional		$42.62	$74.41	$89.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $114.53 / $191.71	Professional		$74.41	$114.53	$191.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $145.34 / $346.37	Facility		$48.15	$145.34	$346.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $48.15 / $426.33	Professional		$35.15	$48.15	$426.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $74.41 / $74.41	Professional		$74.41	$74.41	$74.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $74.41 / $74.41	Professional		$74.41	$74.41	$74.41
United Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $48.17 / $68.43	Professional		$29.59	$48.17	$68.43